| Dr. Tara Gray Counseling & Wellness Inc | |
|
835 E 2nd Ave # 314b Durango CO 81301-5475 | |
| (970) 769-9472 | |
| Not Available |
| Full Name | Dr. Tara Gray Counseling & Wellness Inc |
|---|---|
| Speciality | Counselor |
| Location | 835 E 2nd Ave # 314b, Durango, Colorado |
| Authorized Official Name and Position | Tara M Gray (DR./CEO) |
| Authorized Official Contact | 9707699472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Tara Gray Counseling & Wellness Inc 24 Engine Creek Ct Durango CO 81301-8593 Ph: (970) 769-9472 | Dr. Tara Gray Counseling & Wellness Inc 835 E 2nd Ave # 314b Durango CO 81301-5475 Ph: (970) 769-9472 |
| NPI Number | 1972012490 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 12/10/2025 |
| Certification Date | 12/10/2025 |
| Medicare PECOS PAC ID | 9234579400 |
|---|---|
| Medicare Enrollment ID | O20240506000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972012490 | NPI | - | NPPES |
| 1649637331 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0012261 (Colorado) | Primary |
| Provider Name | Tara Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649637331 PECOS PAC ID: 5890238711 Enrollment ID: I20240620002364 |
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